Risk Adjustment Coding Specialist II - San Francisco/San Mateo/Santa Clara

Astrana Health Inc

  • Monterey Park, CA
  • 19 days ago

    Highlights

    In this role, you will support risk adjustment efforts by conducting high-volume chart reviews to identify coding gaps, trends, and opportunities for improved accuracy for our providers. Additionally, you'll track and report on key performance metrics-such as HCC recapture rates, AWVs, and other KPIs, helping drive provider performance and overall program success.

    Numbers & Facts

    LocationMonterey Park, CA

    Description

    We are currently seeking a highly motivated Risk Adjustment Coding Specialist to support our Northern California market. In this role, you will support risk adjustment efforts by conducting high-volume chart reviews to identify coding gaps, trends, and opportunities for improved accuracy for our providers. You'll translate your findings into actionable insights, creating and delivering education to providers and practice leaders while navigating complex conversations. Additionally, you'll track and report on key performance metrics-such as HCC recapture rates, AWVs, and other KPIs, helping drive provider performance and overall program success.

    We are seeking candidates who have experience with risk adjustment experience, and we are open to training those without previous provider education experience! This position requires travel to provider offices up to 50% of the time in San Francisco, San Mateo, and Santa Clara.

    Our Values:

    • Put Patients First
    • Empower Entrepreneurial Provider and Care Teams
    • Operate with Integrity & Excellence
    • Be Innovative
    • Work As One Team

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